Traditionally, it has not been recommended implant placement in children and adolescents. However, in certain clinical situations this treatment would result in several advantages. The presentation will review relevant information in the literature regarding implant placement in the growing child, prognosis of such types of procedures and a description of clinical scenarios where the principles were applied. The validity of research on the use of implant in children and adolescents was assessed. Both animal and human studies were evaluated regarding implant behavior in maxillary and mandibular growth. Few studies have been conducted on the use of implants in the growing child. Studies showed that the implant acts as an ankylosed tooth, resulting in varying degrees of infraocclusion. Thus, the most conservative approach is to provide the implant portion of treatment after completion of dental and skeletal growth. However, some studies show the treatment of children with ectodermal dysplasia, who have few or no teeth. In these cases, two implants are placed in mandibular anterior area, where the dynamic growth pattern exists as other areas, but alveolar growth appears minimal when no teeth are present. The final prosthesis must be finalized by the end of maxillofacial growth, but its monitoring is essential, since even after 18 years old teeth continues erupting. Furthermore, there are some other treatment alternatives for the growing patient, such as mini-implants and provisional implants, but additional studies are necessary in this area.